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9 Cards in this Set

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Describe the feeding techniques for a child with cleft lip or palate.
Use lamb's nipple or prosthesis. Feed child upright, with frequent bubbling.
List the signs and symptoms of esophageal atresia with TEF.
Choking, coughing, cyanosis, and excess salivation.
What nursing actions are initiated for the newborn with suspected esophageal atresia with TEF?
Maintain NPO immediately, and suction secretions.
Describe the postoperative nursing care for an infant with pyloric stenosis.
Maintain IV hydration and provide small, frequent oral feedings of glucose or electrolyte solutions or both within 4 to 6 hours. Gradually increase to full-strength formula. Position infant on right side in semi-Fowler position after feeding.
Describe why a barium enema is used to treat intussusception.
A barium enema reduces the telescoping of the intestine through hydrostatic pressure without surgical intervention.
Describe the preoperative nursing care for a child with Hirschsprung disease.
Check vital signs and take axillary temperatures. Provide bowel cleansing program and teach about colostomy. Observe for bowel perforation; measure abdominal growth.
What care is needed for a child with a temporary colostomy?
Family needs education about skin care and appliances. Refer to an enterostomal therapist is appropriate.
What are the signs of anorectal malformation?
A newborn that does not pass meconium within 24 hours; meconium appearing through a fistula or in the urine; an unusual-appearing and dimple.
What are the priorities for a child undergoing abdominal surgery?
Maintain fluid balance (I & O, NG suction, monitor electrolytes); monitor vital signs; care for drains, if present; assess bowel function; prevent infection of incisional area and other postoperative complications; and support child and family with appropriate teaching.